| NPI | 1336907179 |
|---|---|
| Doing Business As | AVANTARA LINCOLN PARK |
| Entity Type | Organization |
| Authorized Contact | MENACHEM SHABAT President 847-679-5331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2024-03-07 |
| Last Update Date | 2024-03-07 |